The feature of fracture in elderly patients in Beijing Jishuitan Hospital from 2009 to 2016

Objective To investigate the feature of fracture in elderly patients in Beijing Jishuitan Hospital from 2009 to 2016. Methods The data of elderly patients with fracture visiting the department of trauma emergency in Beijing Jishuitan Hospital from 2009 to 2016 were retrospectively reviewed. The data of patient number, age, gender, seasonal and circadian variation of visit and fracture site were collected and analyzed. Results Among all the 42 988 elderly patients with fractures visiting department of trauma emergency from 2009 to 2016, there were more female patients than male patients(P<0.01). In both male and female patient groups, there was a trend of increase in number of patients year by year (P<0.01). Elderly patients in the groups of 60-69 years, 70-79 years and 80-89 years demonstrated a trend of increasing number from year to year notably in the 60-69 years group (P<0.01) but the total number of patients decreased as age increased. As for seasonal variation, autumn had the highest number of cases and spring the lowest(P<0.01). Most elderly patients visited emergency during 8: 00-16: 00 period (P<0.01). The commonest sites of fractures were at radius and femur. Conclusions Fracture of elderly patients has its unique feature in gender, age, seasonal and circadian variation of visit and fracture sites. The community should do a better planning for prevention and management of elderly patients with fractures according to their specially clinical features. Key words: Fracture; Elderly patients; Epidemiology; Beijing